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An evaluation of Washington's Medicaid disease-management program.
1Office of Quality and Care Management, Health and Recovery Services Administration, Department of Social and Health Services, Olympia, Washington 98504-5530, USA. lindar@dshs.wa.gov
Managed Care Interface
|April 15, 2008
Summary
Washington State Medicaid
Area of Science:
- Health Services Research
- Public Health
- Health Economics
Background:
- In 2002, Washington State Medicaid launched a disease management program for individuals with chronic conditions.
- This initiative was among the first statewide programs in the U.S. to manage disabled beneficiaries within a fee-for-service model.
- The program targeted asthma, chronic obstructive pulmonary disease (COPD), heart failure, and diabetes.
Purpose of the Study:
- To review the effectiveness of Washington State's disease management program.
- To analyze cost-savings and health outcomes for specific chronic conditions.
- To inform program modifications based on evaluation findings.
Main Methods:
- Review of findings from two independent program evaluations.
- Analysis of cost-savings data.
- Assessment of health outcome metrics for targeted diseases.
Main Results:
- Presentation of cost-savings and health outcome results for asthma, COPD, heart failure, and diabetes.
- Data used to guide subsequent program adjustments.
- Program changes initiated in 2007 based on evaluation outcomes.
Conclusions:
- The disease management program underwent modifications informed by cost and health outcome data.
- Independent evaluations provided critical insights into program effectiveness.
- Ongoing assessment and adaptation are key to optimizing public health programs.
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